論文名稱
英文：Depression and severity of substance dependence among heroin dependent patients with ADHD symptoms
作者：精神科 廖尹鐸 主治醫師
| 本篇論文發表於 Am J Addict 期刊 2017 Jan;26(1):26-33. doi: 全文下載 |
研究目的：
共病ADHD在海洛因使用患者中很常見，此研究目的為調查共病ADHD和無共病ADHD之海洛因使用患者在物質依賴嚴重度、憂鬱、生活品質是否有所差異。
研究結果：
7.8%的海洛因使用者在ASRS量表得分大於等於24分，共病ADHD的患者有較高機會有憂鬱症狀、有更高的物質濫用嚴重度。家族支持度不佳及不良的生活品質，如較差的身體及心理健康。
7.8% (n=35) scored 24 or higher of ASRS indicating highly likely Adult ADHD. More heroin-dependent patients of ADHD-P had a current depressive episode (p = 0.02) . They had higher Center for Epidemiological Studies Depression (CESD) scores (p = 0.003), and more severe heroin dependence (p = 0.006). Poorer family support and quality of life in physical, and psychological domains were found in patients of ADHD-P compared to ADHD-N.
研究貢獻與臨床應用：
我們的研究顯示在海洛因患者探查ADHD症狀是重要的，可以進一步確認有無合併憂鬱症狀等，對於治療海洛因使用疾患及全人照顧有所幫助。
Our results showed that heroin-dependent patients with more ADHD symptoms suffered from complex comorbidities and impairment in daily life than other heroin-dependent patients. Findings indicate the importance and relevance of assessment and treatment of ADHD and the associated comorbid psychiatric disorders such as depression in heroin-dependent patients. With further longitudinal follow-up and intervention studies, the comprehensive assessment and management of heroin-dependent patients with ADHD symptoms may indicate ways of providing more effective and more holistic interventions.
